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Case Reports
. 2021 Feb;49(2):300060520982828.
doi: 10.1177/0300060520982828.

Successful colonoscopic removal of a foreign body that caused sigmoid colon perforation: a case report

Zhenhua Ma  1 , Wujie Chen  1 , Ye Yang  1 , Zhenjie Xu  1 , Haitao Jiang  1 , Yang Zhang  1 , Dongdong Lu  1
Affiliations
Case Reports

Successful colonoscopic removal of a foreign body that caused sigmoid colon perforation: a case report

Zhenhua Ma et al. J Int Med Res. 2021 Feb.

Abstract

Large bowel perforation is an acute abdominal emergency requiring rapid diagnosis for proper treatment. The high mortality rate associated with large bowel perforation underlines the importance of an accurate and timely diagnosis. Computed tomography is useful for diagnosis of ingested foreign bodies, and endoscopic repair using clips can be an effective treatment of colon perforations. We herein describe a 78-year-old man with sigmoid colon perforation caused by accidental swallowing of a jujube pit. The jujube pit had become stuck in the wall of the sigmoid colon and was successfully removed by colonoscopy, avoiding an aggressive surgery. As a result of developments in endoscopic techniques, endoscopic closure has become a feasible option for the management of intestinal perforation.

Keywords: Perforation; colonoscopy; computed tomography; endoscopic repair; foreign body; jujube.

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Conflict of interest statement

Declaration of conflicting interest: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Computed tomography scan of the abdomen revealing a hyperdense lesion within the colon (black arrow).
Figure 2.
Figure 2.
Computed tomography scan of the abdomen revealing a high-density lesion (foreign body) in the colon, evidence of abdominal infection, and an incomplete jejunal obstruction (black arrow).
Figure 3.
Figure 3.
A jujube pit was observed piercing the wall of the sigmoid colon.
Figure 4.
Figure 4.
The 3-cm jujube pit.
See this image and copyright information in PMC

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